Prior Authorization Transparency Act

  1. Law
  2. Arkansas Code
  3. Public Utilities and Regulated Industries
  4. Insurance
  5. Healthcare Providers
  6. Prior Authorization Transparency Act

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Section
23-99-1101

Title

Section
23-99-1102

Legislative findings and intent

Section
23-99-1103

Definitions

Section
23-99-1104

Disclosure required

Section
23-99-1105

Prior authorization — Nonurgent healthcare service

Section
23-99-1106

Prior authorization — Urgent healthcare service

Section
23-99-1107

Prior authorization — Emergency healthcare service

Section
23-99-1108

Subscribers with terminal illness — Denial of prior authorization for covered prescription pain medication prohibited

Section
23-99-1109

Rescission of prior authorizations — Denial of payment for prior authorized services — Limitations

Section
23-99-1110

Waiver prohibited

Section
23-99-1111

Requests for prior authorization — Qualified persons authorized to review and approve — Adverse determinations to be made only by Arkansas-licensed physicians

Section
23-99-1112

Application of subchapter

Section
23-99-1113

Benefit inquiries authorized

Section
23-99-1114

Limitations on step therapy — Definition

Section
23-99-1115

Notice requirements — Process for appealing adverse determination and restriction or denial of healthcare service

Section
23-99-1116

Failure to comply with subchapter — Requested healthcare services deemed approved

Section
23-99-1117

Standardized form required for prescription drug benefits

Section
23-99-1118

Rules

Section
23-99-1119

Medication-assisted treatment for opioid addiction